Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,297.32 / $1,297.32 / $1,297.32	Facility		$1,297.32	$1,297.32	$1,297.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $998.64 / $1,297.32 / $1,800.99	Professional		$998.64	$1,297.32	$1,800.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,989.57 / $17,090.00 / $34,222.72	Facility		$7,989.57	$17,090.00	$34,222.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.80 / $147.09 / $147.09	Professional		$130.80	$147.09	$147.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.74 / $1,769.74 / $1,769.74	Facility		$1,769.74	$1,769.74	$1,769.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.36 / $1,491.30 / $2,887.50	Professional		$1,479.36	$1,491.30	$2,887.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $473.76	Professional		$100.00	$200.00	$473.76
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.11 / $220.64 / $2,143.22	Professional		$204.11	$220.64	$2,143.22
United Facility/Professional Facility Modifier Low / Median / High Price $104.39 / $795.96 / $1,570.80	Facility		$104.39	$795.96	$1,570.80
United Facility/Professional Professional Modifier Low / Median / High Price $827.90 / $1,076.26 / $2,073.69	Professional		$827.90	$1,076.26	$2,073.69